Sandra Jeanne Godin, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3490 Issued in CT

Practice address

53 Muir Ave
Bristol, CT 06010-7215

Phone

(860) 582-7904

NPI assigned

Jul 10, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Counseling Center of Central CT Inc

  • Professional Counselor
  • Bristol, CT
  • NPI 1760541510
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1871089060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 WOLCOTT ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106427",
            "telephone_number": "860-805-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 MUIR AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060107215",
            "telephone_number": "860-582-7904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1089 Woodtick Rd",
            "address_purpose": "LOCATION",
            "city": "Wolcott",
            "state": "CT",
            "postal_code": "067162123",
            "country_code": "US",
            "telephone_number": "203-879-9485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODIN",
        "first_name": "SANDRA",
        "middle_name": "JEANNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "3490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Giuliani, PHARMACIST
• Susan Glasser, MD
• Jennifer Glasson, PHARMD
• Nicole Glick
• Megan Smith Godard, O.D.
• Olivia Ann Goforth, LCSW
• Bryan Douglas Goldberg, MD
• Jeffrey R Goldberg, MD
• Jeffrey Goldschlager, D.C.
• Diana Patricia Gonzalez, AU.D., CCC-A

• Professional Counselor in Bristol, CT
• Providers in Bristol, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.